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Request Services

If you are requesting services, please use the Request Services Button. For all other inquiries, please use the form below.

Request Services

Other Inquiries



    Request Services

    At Bridging the Gap Foundation, we’re committed to making mental health services more accessible to the communities we serve. If you or someone you know is in need of support, you’ve come to the right place.

    This is the first step toward accessing professional counseling through one of our qualified clinicians.

    How It Works:

    1. Complete the Intake Form
       Tell us more about yourself or the person seeking services. This helps us understand your needs and match you with the most appropriate provider.
    2. Review and Match
      Our team will review your request and determine whether this program is the right fit. Service determinations are made on the 15th and 30th of each month, and you will be notified shortly after regarding next steps.
    3. Get Started
       Once matched, you will be contacted to schedule your first appointment and begin services.


    All information submitted is kept confidential and used solely for service coordination purposes.

    Ready to Begin?

    Click the button below to complete the intake form and request services today.

    Request Services

    If you have any questions or need help with the form, please email us.

    With your donation, we are Bridging the Gap.

    **Patrick: Below will be a form or a link to your DonorPerfect account instead**